ѡټͳƩϾȥHHDϤʾ塤̤ˤ⸵Ǥ٤ΡɸפꤷΤǤ ǤϡãΥɥХʤɤƧޤơǽʥ٥ƩɸƳФƤߤޤ ƩϤ †ƩϤȤŤ˴Ϳ̤ϡ⤤ > > Ψ ȸƤޤ ȸȤƤޤϴԤγʤ˹碌ơֲ¿פֻ֤ĹפָΨ⤯פ˾ޤȸȤʤǤȸǤ͡νŤ40kgδԤ90kgδԤƱƩˡɤޤ ƩϤǤϡβ٤˻¦ԹƤ˲ᤷΤ褦ƩϼŤδDz٤ƤޤĤޤꡤ
ȸˤʤĤĤޤ ȸȤϡ褤ƩϤΰ٤θ̤ι⤤١סֻ֡פƩϤ˵뤳ȤʤäƤƤȸޤ ƩϼŤǮդäϤƲäƤߤ⾯ʤ餺¸ߤƤޤΤǡƩϤǤС١סֻ֡פθ̤ʤȸ櫓ǤϷ褷Ƥޤդˡ¦ǽǤäƤⴵ¦˻ŪäꤷơͤѲĹƩϤ̤礤ˤޤ 3.ΡָΨפˤʤΤǤƻ˹ͤޤޤǡνšϡ̤˹ή̡450ml/min٤ޤǡˤꤵȤ䡤Χɸΰ̣Ϸή̡150200ml/min١ˤꤵȤͭޤˤޤν40kgδԤ90kgδԤƱή̡200ml/minǤȻפޤ ʤή̤ˤĤƤʤԤξϡHDFȸˡͭʤΤǤޤüӤǤݸŬѤ̵Ȥ꤬äơιͤ⤤ǤդθСή̤ǤʤHDFˡ̣ʤȤޤ ͤˡɤƤƩϤˤϼΡɡפΩϤäƤΤǡ١֡פɤꥢǤΤHHDȸޤHHDǤΡѲƩϡפǽǤ˹ԤĹƩϡפǽǤդ̤λͻƤߤޤ礦 HDPιͻ †TheInternetǤäˤʤäƤ碌ߥ˥åۤڤȡHDPHemo-Dialysis ProductˤȸɸѤŬƩϤȸΤɾ륢ǥDr. ScribnerDr. Oreopoulosξˤ뤽Ǥˤȡ HDP = [1Ʃϻ] [1Ʃϲ] [1Ʃϲ] 70ʾŬƩϤɾ褽ƤͤǤ*1Ǥ̾ԤƤƩϤΰŪǤ 4ƩϤ3ԤְŪƩϡ HDP = 4x3x3 = 36 ˤʤޤͷʸˤḺǤHHDǤ 2ƩϤ6ԤѲƩϡס HDP = 2x6x6 = 72 8ƩϤ3ԤĹƩϡ HDP = 8x3x3 = 72 ȸȤǽȤʤޤʬŬHDPꥢ뤳Ȥˤʤޤ ߤˡʿյǽͭ24ƩϤƤ뤳Ȥˤʤޤ 24ƩϤԤäƤ¡ HDP = 24x7x7 = 1176 ȡ˷㤤οͤˤʤäƤޤޤϤ꼫ˤϾƤޤ ΤȤ顤HDP70ۤȤȤϡʿյǽӤ 70/1176 = 0.06 i.e. 6%ʾ ȸȤˤʤޤο裴ο()οյǽ10%ʲ⾯ʤǤΤǡƩƳθƤοԾ֤ȸȤˡ ĤޤƩϤʤƤפʥꥮλݻǤ٤ȸȤǡǤޤޤֽʬƩϡפȤϸƤ٤ʤΤΤޤŪˤ10%ʾ裳٤ˤޤᤷȤǤ뤿ˤ 1176x0.1 = 118 i.e. HDP = 2.5x7x7 = 1227.5x4x4 = 120 ٤ƩϤФȤˤʤޤΤǡ2.5֤ѲƩϤ併47.5֤ĹƩϤɸȸȤˤʤޤ ξ硤̤5ƩϤ4ȷײ褷ƤޤΤǡ HDP = 5x4x4 = 80 ȤʤꡤƩϤˤ꤬ʡ֤餷Ʃ*2פϥޥʡȸä٤Ǥ礦 ͤʤȤHHDǤм¸ǽˤʤȸǤ Ʃ †ޤƩ = νŤ1.5٤ηդƩϤ ȸȤˤʤ뤽Ǥ Ǥ顤DW?64kgλ䤬4֤ǻƩϤ 64[kg]x1.5x1000[ml/kg] / (4[hrs]x60[min/hrs]) = 400[ml/min] ȤʤޤΤǡQB = 400 ή̤ƩϤɤȤˤʤޤ HDǤ⤳QBȤʤȳи礬פꤽǤ餳ͤʡֽ¤꽽ʬʡƩϤ³ƤвǽʿͤǡHDFʤ龰ֳڤƩϡפ´餷Ǥ Ȥǡοֽͤ3Ʃϡפ֤ƹͤȡ (64x1.5x1000)[ml/]x3[/] = 288000[ml/] ƩϡˤɤȸޤǤ2.5ֹԤäHHDǹͤȡ 288000[ml/]/(2.5[hrs]x60[min/hrs]x7[/]) = 274[ml/min] ĤޤꡤQB=280 ǡֹޤƩ̡פ뤳ȤˤʤޤHHDξϻƩϤȰäơή̤äȶ˼Υꥹ*3ͽۤޤΤǡQB250ml/min٤ޤΤǤʡǤϤޤ Ʃϻߤľ˹Ԥ褤ƩϤϡήƩϤǤ ȤʤǤ ȸȤǡƩϷײ QB = 250, 4/ ɸƩϻ֤ 288000[ml/]/(250[ml]x60[min/hrs]x4[/]) = 4.8[hrs] 顤5֤ȤʤޤʤǽǤ͡ HDPǤ5֤4/ȷײ褷ޤ顤ǥåꡤХåꡪ äȤ˽ѤĹƩϤǤС4 28800[ml/]/(8x60x4) = 150[ml/min] Ȥʤޤ顤ǡĹƩϤִˤ䤫ƩϡפȽޤ*4 ƷǤޤȡ Сνg x 1.5 x 3ѡСʻminxʲˡѢ QBή ή̤ɸȤή̤ȤȤˤʤޤ †HHD˰ܹԤ顤
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ǡɤ̤ݤDWɬפޤǽФƤƤޤޤ ƩϱդȤΥХδط顤ʬȥ뤬פʤꡤ
ͤˤʤޤǤɤ ڤƩ뤳Ȥ ȸQOLθ̤ԤǤޤ Ψ †ߡŪKt/VȸͤѤƩϸΨ?ƤޤδȤʤäƤƩϾ郎ֽ3ƩϡפǤΤǡѤƤͤ͡פθǡˤʤäƤޤ ȤHHDͤʾϡ4ʾ˲䤵륱¿ᡤΡ֤ǤΥǡޤĹơְפˤʤޤ
eKt/VspKt/VstdKt/V ϡ줾 Kt/VeKt/VspKt/Vstd ɤǡ Kt/Ve Kt/Vsp = -ln(Ce/Cs) [ Cs : ƩBUNǻ١ Ce : ƩϸBUNǻ ] ꥢڡΨ(URR:ǢǽΨ) = 1-Ce/Cs 1-exp(-Kt/Ve) 1-exp{ln(Ce/Cs)} = 1-Ce/Cs = URRT = 168/t ֤ Kt/Vstd = URRT / {(T/N-1) + URR/(Kt/Vsp)} keisn- ʲΥѤƤƤ빽Ǥ <a href='http://keisan.casio.jp/exec/user/1313975059'>Ʃ̡ˣ</a> |